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There was a point to Mitt Romney's amazement at the touch screen ordering system at WaWa that made news yesterday. It was caught by Steve M. at No More Mister Nice Blog in this longer clip. What Romney was really saying was that it should be as easy for a Medicare or Medicaid provider to change addresses as it is to order a sandwich. Here's the whole thing:

And here's the relevant bit of the transcript on physicians:
I met an optometrist this morning ... and this optometrist wanted to change his billing address. He'd moved his office from one side of town to the other—same zip code, same post office—but he wanted to change his address. He got a form from the federal government—this is so he can get reimbursement from the federal government for the services he provides for the poor and seniors. [...]

This takes several months, during which time he's not getting the checks for the work he's doing for people who need his care. That's how government works.

Then I was at a Wawa's. I went to order a sandwich. You press the little touch-tone keypad, all right? You just touch that, and, you know, that sandwich comes, you just touch this, touch this, touch this, go pay the cashier, there's your sandwich. It's amazing! People in the private sector have learned how to compete! It's time to bring some competition to the federal government and get it smaller, and respond to the customers, which are you!

That's how big, slow government works. You have to fill out a 33-page form [which, see update, is actually a two page form] just to change your address. But you can get a sandwich just by touching a few buttons, Romney says, and why can't the federal government be like WaWa? You push a few buttons and that's it. Well, as Steve M. points out, you can change your address simply by filling out a form online with the post office.

That's if you're not a Medicare or Medicaid provider who is getting taxpayer dollars for providing care to, as Romney says, the poor and seniors. They have to fill out 33 pages of forms because of that other thing Republicans like to scream about: fraud. Physicians have to fill out a sort of complicated form when they move offices to show where and how they are seeing patients that the government is paying them to care for. So that they don't, you know, steal taxpayer money.

So what Romney is ultimately arguing for is to make committing Medicare fraud as easy as ordering a sandwich. Easier than registering to vote. How very Republican of him.

8:58 AM PT: This story just got so, so much better.

He only missed it by 31 pages. That’s right, the form that’s so very inferior to the sandwich computers at “Wawa’s” is two pages long, four if you include the instructions. That optometrist is either delusional, or a delusion of Romney’s. [...]
I guess the optometrist is Romney's version of the seven foot tall doctor. Or, more simply, he's just a big, fat liar.

Originally posted to Joan McCarter on Tue Jun 19, 2012 at 07:33 AM PDT.

Also republished by Daily Kos.

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Comment Preferences

  •  Note how he puts it. (28+ / 0-)
    so he can get reimbursement from the federal government for the services he provides for the poor and seniors
    The charitable doctor performs good works and then asks the government for reimbursement.

    It's not charity if you're being paid for it.  

    I'm from the Elizabeth Warren and Darcy Burner Wing of the Democratic Party!

    by TomP on Tue Jun 19, 2012 at 07:36:21 AM PDT

    •  And by the way (22+ / 0-)

      the Republicans have no compunctions about taking those reimbursements hostage if they think that can get something out of the deal.

      Hypocritical fucks.

      "There’s class warfare, all right, but it’s my class, the rich class, that’s making war, and we’re winning." —Warren Buffett

      by Joan McCarter on Tue Jun 19, 2012 at 07:42:02 AM PDT

      [ Parent ]

    •  the doctor is a deserving job creator (18+ / 0-)

      the others are leaches using government services.  Of course, without the program, the doctor would make a lot less money because people without these programs aren't going to the doctor, they can't afford it.

      Poor republican dimwits, they can't figure out you can't subsidize the rich if the little people who buy from them, can't buy.

      •  To file a Medicare claim is a easy peasy. (3+ / 0-)
        Recommended by:
        DaleA, jfromga, CorinaR

        It can be done on ONE LINE of a form available on the Internet. You can file about 20 claims on ONE PAGE and send it over a secure connection in seconds. Within a few days, about a week, you get a confirmation by mail that shows how much you will be paid for each claim. If there are any errors (they are almost always made by the filer, not by Medicare), you can phone them and they'll help you straighten them out. They are always both professional and friendly.  Then, about a week later, you get a notice that a deposit has been made to your account.

        To file a claim with a for-profit insurance company is an entirely different matter. You can probably use a 3-part standardized form purchased from an office supply store or you might have to use their form in an inscrutible format you'll have to figure out. If you make a mistake, you migt wait weeks to find out about it, maybe even make a few phone calls to inquire. Depending on the physician's specialty, you may get a letter requesting special explanations and documentation, even though you obtained preauthorization to treat. (More and more insurance companies want to negotiate cut rates ahead of treatment.) This can go back and forth for many weeks.

        Just don't believe what you hear about the government being difficullt to work with and business being efficient.

        Eliminate tax breaks that stimulate the offshoring of jobs.

        by RJDixon74135 on Tue Jun 19, 2012 at 11:14:18 AM PDT

        [ Parent ]

    •  No real harm done if you order the wrong (5+ / 0-)

      sandwhich, however, get the address wrong, and your reimbursment checks go elsewhere. What doesn't this guy get about doing things correctly?
      I don't know if you noticed the video of Romney speaking in the wind. I did, and it seems to me, he was wearing a hairpiece. If you should see it again, notice how his hair was blowing in the wind like crazy, except for the patch on the very top of his head, from his forehead, midway back. I bet it is a hairpiece. I wish we could find out for sure. It would just further prove the point that nothing about this man is authentic, even what looks good is not what you see.

    •  He says "the poor", like it was a dirty word. (4+ / 0-)
      Recommended by:
      indres, TomP, raster44, happymisanthropy
    •  I would think that a physician could afford (3+ / 0-)
      Recommended by:
      TomP, raster44, joe wobblie

      to pay; to have someone who know how, fill out the 33 page form.

      Optometrists make a lot of money. Have you checked out the cost of a decent pair of glasses.

      The one's medicare pays for are terrible. At least mine were. They looked like eyeglasses, but I still couldn't see any better with them.

      I could see better with the kind of eyeglasses one buys at a discount store!

      Brought To You By That Crazed Sociologist/Media Fanatic rebel ga Be The Change You Want To See In The World! Gandhi

      by rebel ga on Tue Jun 19, 2012 at 09:17:48 AM PDT

      [ Parent ]

      •  typo, should have said (2+ / 0-)
        Recommended by:
        raster44, joe wobblie

        I would think that a physician could afford to pay; to have someone who knows how, fill out the 33 page form.

        I hate typos!

        Brought To You By That Crazed Sociologist/Media Fanatic rebel ga Be The Change You Want To See In The World! Gandhi

        by rebel ga on Tue Jun 19, 2012 at 09:20:24 AM PDT

        [ Parent ]

      •  Rebel, have you checked out the cost? (1+ / 0-)
        Recommended by:
        CorinaR

        Of medical school (and student loans)?
        Medical assistants?
        Front desk and billing personnel?
        Overhead?
        Malpractice insurance?
        Income taxes?

        Those expensive frames you talk about?  Most of the profit goes to the manufacturer.  The physician gets his cut from the exam fees, after paying what I've listed above, and many other expenses I've left out.

        The docs aren't the reason for high medical care in this country.  

        •  I wasn't talking about the eyeglass frames. (1+ / 0-)
          Recommended by:
          joe wobblie

          I was talking about the quality of the lenses themselves.

          I have nothing against doctors in general. A few have actually saved my life. But I've also come into contact with some who should never have been allowed to practice medicine who also almost killed me.

          And they did this un-caringly too. I've met good doctors and bad doctors. And when doctors are quacks the poor suffer. The rich get all the good doctors.

          So no, I don't care how much medical school or malpractice insurance costs a doctor. IMO, that's all part of doing business and they are well compensated for it in their fees.

          Brought To You By That Crazed Sociologist/Media Fanatic rebel ga Be The Change You Want To See In The World! Gandhi

          by rebel ga on Thu Jun 21, 2012 at 08:33:34 AM PDT

          [ Parent ]

  •  It's amazing how much (20+ / 0-)

    being just an arrogant blowhard asshole has become a major cornerstone to being viable as a Republican Presidential candidate.

    The Romney campaign, and Romney himself, should make everybody who calls themselves a reporter deeply ashamed of the state of their profession.

    Romney says things that could be fact-checked in seconds, and are blatant bullshit, and he does it knowing he won't get fact-checked or called on his blatant bullshit with relative impunity.

    I'm wondering if, in reality, the change of address form(s) Romney is talking about is really two or three pages long and gets processed in a lot less time that Romney claims, and this is another case of Romney just making shit up because he just knows nobody is going to check or ask him to prove it.

    I am from the Elizabeth Warren wing of the Democratic Party

    by LeftHandedMan on Tue Jun 19, 2012 at 07:39:48 AM PDT

    •  Provider enrollment form is 28 pages long... (16+ / 0-)

      ...including the instructions. It can be used to change a provider's info.

      I found it in about a minute.

      Link to the form...

      There may be a shorter form for change of address.

      So, yeah, Romney's just making shit up again.

      Cheers.

      •  More than that, it took me all of 3 minutes to (17+ / 0-)

        fill it out.  For a change of address, you simply answer the questions in Section 1 and 2, check no to any adverse legal matters in section 3, provide a contact person's name/address/phone/email in section 13 and sign/date it in section 15.

        That's it.  So, a competent billing clerk fills this out, doctor signs it.  Let's say 15 min for the billing clerk @ $12 per hour = $3.00 + taxes/benefit burden of 33% = $4.00 cost for the worker + let's even say the same $4.00 for all of 1 minute for the Doc to review and sign  = $5.00 labor cost.

        Add $3.00 to send the form certified mail, and that's $8.00 cost at most to the business.  $8 to prevent Medicare fraud is too much to ask? No, it is not.

        Moreover, the doctor had to know when he was moving, yes? So, I send the form in a month before the move, allowing time for processing, and my records will be updated right on time.

        So either Mittens is lying his ass off again, or that is one optometrist that I ain't ever going to, because he's dumb as a rock.

        Liberalism is trust of the people tempered by prudence. Conservatism is distrust of the people tempered by fear. ~William E. Gladstone, 1866

        by absdoggy on Tue Jun 19, 2012 at 08:39:43 AM PDT

        [ Parent ]

      •  Yep (7+ / 0-)

        see the update. The simple change of address is four pages, with instructions. Just two pages of actual form.

        "There’s class warfare, all right, but it’s my class, the rich class, that’s making war, and we’re winning." —Warren Buffett

        by Joan McCarter on Tue Jun 19, 2012 at 08:59:23 AM PDT

        [ Parent ]

        •  Like bachman (6+ / 0-)

          with the "HPV vaccine causes metal retardation" story.

          Goldman Sachs was not elected.

          by bornadem on Tue Jun 19, 2012 at 09:12:41 AM PDT

          [ Parent ]

        •  Makes you wonder...again... (7+ / 0-)

          what, exactly, Mitt was actually doing as Governor of MA.

          Oh, right, he was running for president.

          When someone is impatient and says, "I haven't got all day," I always wonder, How can that be? How can you not have all day? George Carlin

          by msmacgyver on Tue Jun 19, 2012 at 09:15:52 AM PDT

          [ Parent ]

          •  As he said in his little speech (2+ / 0-)
            Recommended by:
            luckydog, msmacgyver

            he was trying to steal jobs from California, because Schwartzenegger was trying to steal jobs from Massachusetts. Note the Zero Sum Game both Republican governors play: they don't think about creating new jobs, for them "jobs" are something they have no way to create, all they can do it steal them from somewhere else. And he calls that "competition."

            Haven't these Republican ninnies heard the old capitalist folklore about building a better mousetrap? No: Romney sees jobs as something you harvest, and if your harvest is poor, you steal jobs from your neighbor.

            "The problems of incompetent, corrupt, corporatist government are incompetence, corruption and corporatism, not government." Jerome a Paris

            by Orinoco on Tue Jun 19, 2012 at 10:43:08 AM PDT

            [ Parent ]

            •  To paraphrase Reagan who stole it from (2+ / 0-)
              Recommended by:
              luckydog, Orinoco

              someone else, "Distrust AND Verify"...

              http://www.boston.com/...

              10/7/04 excerpt: Romney, never one for muscle shirts, is pictured in a shirt and tie. In Schwarzenegger's advertisement, the former action hero wears a tight white T-shirt adorned with the California flag, his arms crossed to accentuate his large biceps. ''Arnold says: CALIFORNIA WANTS YOUR BUSINESS," the billboard declares.

              California has placed the same billboards in Atlanta, Chicago, Dallas, Phoenix, Portland, and Seattle.

              A combination of state, quasi-public, and private entities is paying for the Bay State's billboards, which will cost $19,500 per month. Romney spokesman Eric Fehrnstrom said the state has paid for one month and will decide whether to continue the campaign on a month-to-month basis.

               ''Our message is that in Massachusetts, we don't treat our employers like economic girlie men," Fehrnstrom said, employing a phrase, originally used in a ''Saturday Night Live" sketch parodying bodybuilders, that Schwarzenegger has made famous once more.

              When someone is impatient and says, "I haven't got all day," I always wonder, How can that be? How can you not have all day? George Carlin

              by msmacgyver on Tue Jun 19, 2012 at 12:01:54 PM PDT

              [ Parent ]

              •  OMG! He even lied about that! (1+ / 0-)
                Recommended by:
                msmacgyver

                Relevant transcript:

                When I was governor, Arnold Schwarzenegger, fellow Republican, came to my state. He put a billboard up in my state. He was trying to poach jobs, from my state to go to California... It had a picture of him, you know in a teeshirt, flexing his muscles, it said, "Come to California"... What am I to do?

                I put billboards up in his state.

                It had me in a teeshirt flexing my muscles.

                It said "Smaller muscles but much lower taxes, come to Massachusetts." So states... states compete! And so we learned from each other... and we find ways to do things better or we'll lose jobs to one another...

                Ahh, no: Romney, never one for muscle shirts, is pictured in a shirt and tie.

                btw: Ahnold wasn't flexing, he was just standing there with his arms crossed. Of course, when you've got 22" biceps, you don't have to flex to show them off.

                "The problems of incompetent, corrupt, corporatist government are incompetence, corruption and corporatism, not government." Jerome a Paris

                by Orinoco on Tue Jun 19, 2012 at 02:36:54 PM PDT

                [ Parent ]

                •  Right you are! I didn't pick up on that (1+ / 0-)
                  Recommended by:
                  Orinoco

                  but was focused on the cost for another one from Mitt's Prankster Kit...it's obviously a variation on Rich Governors' Fun and Games.

                  A combination of state, quasi-public, and private entities is paying for the Bay State's billboards, which will cost $19,500 per month. Romney spokesman Eric Fehrnstrom said the state has paid for one month and will decide whether to continue the campaign on a month-to-month basis.

                  When someone is impatient and says, "I haven't got all day," I always wonder, How can that be? How can you not have all day? George Carlin

                  by msmacgyver on Tue Jun 19, 2012 at 02:56:39 PM PDT

                  [ Parent ]

        •  And such intrusive questions! (2+ / 0-)
          Recommended by:
          luckydog, Orinoco

          For those who haven't bothered to look at this awful form that the mean, nasty federal government makes doctors fill out when they change addresses, it asks these questions.

          Your provider number and name.
          Your street address.
          The mailing address for the checks.
          The actual (presumably changed) location(s) where you will see patients.  There's room for up to four on a page, but you can photocopy the page if you use more than four locations.  And the effective dates.

          That's it.  Name and address information, keyed to your provider ID.

          •  Oh, that's all well and good... (1+ / 0-)
            Recommended by:
            K S LaVida

            but it also says you can't use red ink, or white out, or rubber stamp the signature.

            And it says to write ADD, CHANGE or DELETE next to the address, BUT IT DOESN'T TELL YOU WHERE!!! There's no line! No box to check! Do you write it in the blank space on the left? On top? Across the whole address in big letters, like voiding a check? THEY DON'T SAY!!!

            How can a poor doctor know where to write the fateful word when they DON'T TELL HIM??? What if you write it in the wrong place? What if you leave it out because you didn't read the instructions?

            Oh, the horror, the horror of government forms!

            "The problems of incompetent, corrupt, corporatist government are incompetence, corruption and corporatism, not government." Jerome a Paris

            by Orinoco on Tue Jun 19, 2012 at 02:45:04 PM PDT

            [ Parent ]

        •  An Optometrist in NC (0+ / 0-)

          I am an Optometrist in NC who is having to update his address with Medicare and wanted to clarify some things.  First, the link you have in your update is to a NY MEDICAID form to update a provider's address not Medicare.  Each state will have different processes for changing a provider's information and I have no idea how WV would handle that situation but it will be different than the form from NY.  NOW, for Medicare, which is the program the diary was addressing, you would need to go to the CMS website and download form 855I, fill it out and mail it into your local Medicare administrator.  Mine happens to be PGBA.  

          Form 855I is actually 28 pages including instructions.  Now Tricare allows you to update this information through your online account as does United Health Care.  With Blue Cross/Blue Shield of NC and Aetna all I had to was type a letter using my official letterhead requesting the address change and the effective date.  

  •  Once again (5+ / 0-)
    Recommended by:
    Armando, blueoldlady, indres, raster44, Orinoco

    Mitt thinks he has a point. So clueless. I think they patched this story up to cover for his stupidity yesterday. He didn't think this up by himself. He could easily have made this point yesterday and didn't.

    You just have to know that Mitt lies all the time about everything to figure it out.

    In our sleep, pain which cannot forget falls drop by drop upon the heart until, in our own despair, comes wisdom through the awful grace of God ~RFK

    by vcmvo2 on Tue Jun 19, 2012 at 07:40:39 AM PDT

    •  I added the bit of the transcript (15+ / 0-)

      that shows this whole story was the lead up to the WaWa touchscreen bit.

      It wasn't stupidity at not knowing about this technology--it was to tell the story about the doctor and how evil big government is.

      As if private insurance companies don't require reams of paperwork from doctors.

      "There’s class warfare, all right, but it’s my class, the rich class, that’s making war, and we’re winning." —Warren Buffett

      by Joan McCarter on Tue Jun 19, 2012 at 07:48:09 AM PDT

      [ Parent ]

      •  We have the added bonus of luddite profile (2+ / 0-)
        Recommended by:
        raster44, vcmvo2

        as well. Though this may illustrate a common feature of his peeps, it is terrifying to think of a POTUS who is still thinking about the mystery in the series of tubes.

      •  "I Met an Optometrist this Morning ...." (4+ / 0-)

        Bulls%&t!
        Basically, he (or his speechwriter) is using the time-honored GOP tactic of "Making S%&t Up."

        "Facts are meaningless. You could use facts to prove anything even remotely true." -- H. Simpson

        by midnight lurker on Tue Jun 19, 2012 at 09:32:09 AM PDT

        [ Parent ]

      •  And they almost always have (0+ / 0-)

        Most of the time the paperwork was doubled and then tripled under Republican presidents. It really began with the Reagan administration looking for all that "Medicare fraud and abuse."

        I set up my husband's practice 16 years ago and the burden was already there. Bush I just added to what Reagan had done and then under Bush II it became so crazy that we had to hire a separate billing company just to deal with the specialized coding because no doctor or his office has that kind of time when they're trying to see patients or schedule surgery.

        Mitt probably did this in Massachusetts when he was Governor. He is a despicable man in every sense of that word. And a liar. The ever incurious press instead just takes stenography.

        In our sleep, pain which cannot forget falls drop by drop upon the heart until, in our own despair, comes wisdom through the awful grace of God ~RFK

        by vcmvo2 on Tue Jun 19, 2012 at 02:10:19 PM PDT

        [ Parent ]

  •  Prelude to tapping Rick Scott as VP candidate...? (6+ / 0-)

    ...on account of his expertise...?

    Cheers.

  •  rMoney, Lackey of Capital (4+ / 0-)
    Recommended by:
    MKinTN, JML9999, blue aardvark, raster44

    slutty voter for a "dangerous president"; Präsidentenelf-maßschach; Warning-Some Snark Above"Nous sommes un groupuscule" (-9.50; -7.03) "Sciant terra viam monstrare." 政治委员, 政委!

    by annieli on Tue Jun 19, 2012 at 07:43:20 AM PDT

  •  Well, there's profit to be made in... (13+ / 0-)

    Medicare fraud.  There's no profit in having the --wrong-- people voting.

  •  I wonder how long the form is that (8+ / 0-)

    a physician has to fill out to tell Aetna or Blue Shield that they have changed address.

    In theory, there is no difference between theory and practice; but in practice, there always is a difference. - Yogi Berra En théorie, il n'y a aucune différence entre théorie et pratique, mais en pratique, il y a toujours une différence. - Yogi Berra

    by blue aardvark on Tue Jun 19, 2012 at 08:27:57 AM PDT

  •  Maybe Romney is on to something... (9+ / 0-)

    there are so many tasks that we all have to do, that could be so much more efficient, like ordering a sandwich.

    Instead of physically going to the doctor, I'll drop him a quick tweet like "Still got that rash - drugs please? #IHaveARash"

    And instead of having to deal with DMV employees once a year, replace them with computers, that simply spit out liscences and renewal tags - who needs silly things like driving or vision tests, it's probably fine.

    And filing out tax forms? A thing of the past, they should be replaced with touch screen computers, that collect and dispense money - there is no need for 20-30 pages of forms, I mean, people are responsible enough not to con the system, right?  We can all be trusted not to commit fraud.

    •  rashtag. (8+ / 0-)

      why people on the right think that collective bargaining for teachers is worse than plans to PROFIT off little childrens' test scores, i'll never know...

      by stagemom on Tue Jun 19, 2012 at 09:01:11 AM PDT

      [ Parent ]

    •  Former Diebold, employee, Susie? (1+ / 0-)
      Recommended by:
      raster44

      Remember when it was discovered that hackers could skip through the supposedly ironclad voting machines? Diebold reps told us they weren't worried about it since you'd have to assume that their were those who wanted to game the system. Gosh that was such a glorious success, they had to change the name of the company later on.

      •  Absolutely... (1+ / 0-)
        Recommended by:
        714day

        and that's the point.  I am obsessed with computers, I'm a computer programmer and believe that technology can make our lifes exponentially easier if we use it correctly.

        There are a lot of things that computers do better than humans.  But there are somethings that should be left to the humans, for safety and security reasons.

        No one is hacking into the sandwich mainframe to steal a Rubin on Rye or change the ingredients on a Turkey Club.

        I was kidding about replacing all government workers and doctors with computers.  That would be so dumb.  Guess I forgot the snark tag.

  •  Remember kids (5+ / 0-)

    Government is bad, unless it helps good 'hard working Americans'.

    Also, fraud is just a way of 'sticking it to the man'.

    Unless it's committed by any liberal leaning supporters or voters, then it's THE WORST THING IN THE WORLD EVER THIS PRESIDENT MUST BE THE NEXT STALIN OH MY GOD.

    But hey, the WaWa's are pretty cool, aren't they? My Sunoco only has rotary screens, not those cool touch-tone screens. What an age we live in.

  •  The actual form is 2 pgs, not 33 as Romney claims (16+ / 0-)

    ..for the change of address.

    http://static01.mediaite.com/...

    Is it just me, or does it seem like everything Mitt Romney says is a bald-faced lie?

    •  Just found that (7+ / 0-)

      and updated. Yes, Romney's a very accomplished liar.

      "There’s class warfare, all right, but it’s my class, the rich class, that’s making war, and we’re winning." —Warren Buffett

      by Joan McCarter on Tue Jun 19, 2012 at 09:00:26 AM PDT

      [ Parent ]

      •  There is reference to this in the comments: (0+ / 0-)

        http://www.idsociety.org/...

        Complete this application if you are an individual practitioner who plans to bill Medicare and you are: ...

        Currently enrolled in Medicare and need to make changes to your enrollment information (e.g., you have added or changed a practice location).

        Don't know if this form  would have to be used, or if the shorter one above would be ok.   Just passing it on.  

        Was a cold and dark December when the banks became cathedrals...

        by althea in il on Tue Jun 19, 2012 at 09:52:06 AM PDT

        [ Parent ]

        •  Meant to add, the PDF is 27 pages long... (0+ / 0-)

          so 33 is in the realm of possibility, given printers and such.

          Ugh, it bothers me so much to be giving Romney cover on this one, if it's right.

          Was a cold and dark December when the banks became cathedrals...

          by althea in il on Tue Jun 19, 2012 at 09:54:11 AM PDT

          [ Parent ]

    •  Is that a 2 page NYState form? (0+ / 0-)

      Can you use that form or do you need to use the federal CMS 855I althea references as well as a 5 page NPI form?

      I looked at the 855I overnight:

      So… in total (without the NPI form):
      7 boxes to check
      15 lines of very top line data like name and address
      Signature (only thing your administrator couldn’t easily/legally do)

      Doesn’t look that unreasonable once broken down.
      It’s like saying simple 1040EZ tax forms are 47 pages long.
      No, the booklet is, the form is one page.
      You’re certainly not ‘filling out 33 pages’. Romney didn’t actually say that, he said the form is 33 pages which appears true, but this form is used for many things besides simple change of address.

  •  I would bet my paycheck (11+ / 0-)

    that at least 90% of the reason that Medicare providers have to face complicated gov't. bureaucracy is due to decades of Republicans deliberately making it harder for doctors to work with the government, because they loathe the idea of anyone but defense contractors  and/or well-connected cronies being able to get so much as a single penny in taxpayer funding.

    Republicans live to discredit government. The Hippies of old talked about wanting to get into big institutions so that they could tear them down from the inside. This is the sole reason why any conservative ever seeks office.

    Voting for Conservatives to operate the government is no different than hiring radical vegans to operate a steakhouse.

    Republicans are the reason why government is bloated and inefficient. Get them out of the picture, and government can work again, like it did during the Great Depression, WW II, and on into the Eisenhower, Kennedy, and Johnson eras.

    Al Qeada is a faith-based initiative.

    by drewfromct on Tue Jun 19, 2012 at 08:31:16 AM PDT

  •  And let's not forget that the touchscreen (6+ / 0-)

    eliminates jobs.  I'm all for productivity improvements and ease of use, but Robme and all his cronies never even think about how to replace the jobs lost when new technology is introduced.   Oh, right!  I forgot.  They don't care.

    Would we be so happy to have a military that dwarfs all others combined if it was a line item deduction on our paychecks next to FICA."

    by Back In Blue on Tue Jun 19, 2012 at 08:31:37 AM PDT

    •  and (2+ / 0-)
      Recommended by:
      raster44, Back In Blue

      most americans dont care, or dont think about it, because it keeps prices low

      ...sin that pays its way can travel freely, and without a passport,whereas Virtue, if a pauper is stopped at all frontiers. from The Sermon, Moby Dick

      by jts327 on Tue Jun 19, 2012 at 09:47:35 AM PDT

      [ Parent ]

    •  Arby's tried touchscreen technology (1+ / 0-)
      Recommended by:
      Back In Blue

      for ordering, at least out here in California, and ended up taking them out because people didn't like them -- there was no way to customize an order (for example, leaving off tomato or onion on sandwiches that included them).

      I've seen more restaurants going with tablet technology for their wait staff -- which makes sense because rather than having to write out the table order, go to a station and enter it, then make sure it's sent to the kitchen, they can eliminate one step. Net effect on jobs zero.

      Mitt Romney: the Etch-A-Sketch candidate in the era of YouTube

      by Cali Scribe on Tue Jun 19, 2012 at 11:44:09 AM PDT

      [ Parent ]

      •  Ah yes! the lost art of customer service! (0+ / 0-)

        But cutting jobs and services for larger profits while convincing customers it's good for them is so much more fun!

        Would we be so happy to have a military that dwarfs all others combined if it was a line item deduction on our paychecks next to FICA."

        by Back In Blue on Tue Jun 19, 2012 at 09:14:53 PM PDT

        [ Parent ]

  •  Mitt is all about the money (1+ / 0-)
    Recommended by:
    raster44

    Hopefully the form doesn't ask direct questions other wise little Mitt's head might explode.

  •  Obama's been yammering about electronic medical (1+ / 0-)
    Recommended by:
    raster44

    records for years. I don't think improving the efficiency of medical paperwork is much of a differentiator.

    “No, Mitt, corporations are not people. People have hearts, they have kids, they get jobs, they get sick, they love, they cry, they dance, they live and they die. Learn the difference.”-- Elizabeth Warren

    by Positronicus on Tue Jun 19, 2012 at 08:32:46 AM PDT

  •  However... (2+ / 0-)
    Recommended by:
    TooFolkGR, raster44

    ...Romney has a point. And it's a point that often hurts Democrats.

    Government is just as efficient as the private sector -- that's the problem.

    Government should be better.

    That doctor should be able to change his address online, easily.

    Voter registration should be easier.

    Government offices should have every form available online. Anything that they accept in writing should be acceptable by fax or email.

    Also, putting more Government info online will make FOIAs easier. Sunshine is good!

    I know it is unjust, but when Government is inefficient, Democrats get blamed. Even if the office in question is understaffed or underfunded.

    I think Obama understands this, and he's done things like putting the budget on the Internet. But there is more that can be done.

    •  Apparently doctors can (9+ / 0-)

      So your point is not well taken.

      Romney it turns out, shocking I know, lied about this.

      •  My question, if not the real question is: (1+ / 0-)
        Recommended by:
        raster44

        who will point this out? We do it all the time here, because we are among tens-hundreds?-of thousands of careful, literate readers who want to know the truth. The mainstream media? Not so much. Politicians will not call each other out, apparently, given their use of the terms "misspoke" and "misrepresented" instead of "lied" when discussing even their opponents.
        The sheer number of them from Republicans makes it nearly impossible for us make any of them "stick" in the voters minds--and of course, most get hit with the "both sides do it anyway" stance by everyone--so there is little to no downside to lying when slandering one's opponent, other than to one's conscience.
        And this is where most Dems (well, most liberals, at any rate) get hurt; we have consciences, so we feel bad if we lie, we try to avoid it, and we apologize or atone for misdeeds when caught, at the very latest. Paradoxically, that makes us weaker in the eyes of the voting public, instead of more reliable and honest.

        "Lone catch of the moon, the roots of the sigh of an idea there will be the outcome may be why?"--from a spam diary entitled "The Vast World."

        by bryduck on Tue Jun 19, 2012 at 09:19:10 AM PDT

        [ Parent ]

    •  I really don't want the US government to (1+ / 0-)
      Recommended by:
      raster44

      be able to justify going to war based on a telephone referendum taken with five minutes of notice at 3 AM on Easter Sunday morning. thank you.

      There is a reason, a benefit, for certain types of inefficiencies, i. e., checks and balances, and public oversight, in government operations.

      H'mm. I'm not terribly into this, anymore.

      by Knarfc on Tue Jun 19, 2012 at 09:28:58 AM PDT

      [ Parent ]

  •  In addition to fraud, there's a privacy issue (6+ / 0-)

    In addition to the fraud dimension, please recall the privacy aspects as well.

    Medical privacy is governed by the HIPPA act; those of us who deal with medical records in any way are acutely aware of our responsibility to maintain patient confidentiality.

    Does Mitt Romney want access to your medical records to be as easy as ordering a sandwich?

    “No, Mitt, corporations are not people. People have hearts, they have kids, they get jobs, they get sick, they love, they cry, they dance, they live and they die. Learn the difference.”-- Elizabeth Warren

    by Positronicus on Tue Jun 19, 2012 at 08:35:13 AM PDT

  •  And when the gas station sandwich gives you (6+ / 0-)

    food poisoning with explosive diarrhea you'll be glad your doctor has all of his paperwork in order so you can get treatment.

    "How come when it’s us, it’s an abortion, and when it’s a chicken, it’s an omelette?" - George Carlin

    by yg17 on Tue Jun 19, 2012 at 08:38:00 AM PDT

    •  "Who Gets Hoagies At Wawa?" (....stunned silence) (2+ / 0-)
      Recommended by:
      msmacgyver, raster44

      Did I hear someone in the back say "Oh hell no!"

      There’s always free cheddar in a mousetrap, baby

      by bernardpliers on Tue Jun 19, 2012 at 09:11:16 AM PDT

      [ Parent ]

      •  Someone told Mitt that the best way (1+ / 0-)
        Recommended by:
        raster44

        to bond with The Little People is to talk about...Food.

        So, Mitt plods along with cheesy grits, inferior cookies from the local bakery, mystery sweets aka donuts and now "hoagies", a term not generally used in the NE to describe sandwich fixins on a long roll.  

        According to the press releases, Mitt ordered a Meatball Hoagie with sweet peppers and pickles.  Gah.

        When someone is impatient and says, "I haven't got all day," I always wonder, How can that be? How can you not have all day? George Carlin

        by msmacgyver on Tue Jun 19, 2012 at 09:24:56 AM PDT

        [ Parent ]

  •  Yes, that's what's wrong with America. Long forms. (5+ / 0-)
    Recommended by:
    Armando, msmacgyver, indres, raster44, jts327

    What an idiot.  And I'm referring to the idiots in the crowd to cheer wildly at such a moronic, irrelevant anecdote.

  •  As usual, here he goes again: (6+ / 0-)
    "You just touch that, and, you know, that sandwich comes, you just touch this, touch this, touch this, go pay the cashier, there's your sandwich. It's amazing!"
    Mitt, if you ask nicely, maybe they'll let you into the back of the store where the minimum-wage workers out of reach of your possible monetary gratuity are watching monitors to see which buttons you push and are putting your sandwich together. Manual labor. Grunt work. With a high-tech facade.

    It's amazing!

    I believe in democracy, civil liberties, and the rule of law. That makes me a liberal, and I’m proud of it. - Paul Krugman

    by Gentle Giant on Tue Jun 19, 2012 at 08:41:56 AM PDT

  •  Romney: Government should be streamlined... (5+ / 0-)

    except for that voting thing. We need as many obstacles as possible. You never know what riff-raff might try to vote.

  •  Competition! (9+ / 0-)
    It's time to bring some competition to the federal government and get it smaller, and respond to the customers, which are you!
    He's right! And here's how we should start: we should allow other governments, like Canada, to compete for our federal health care dollars! Let's see how many "customers" still choose the US system! Free market! Invisible hand!

    You can call it "class warfare" -- we call it "common sense"

    by kenlac on Tue Jun 19, 2012 at 08:44:42 AM PDT

  •  Recced for this point applicable to everything: (4+ / 0-)
    They have to fill out 33 pages of forms because of that other thing Republicans like to scream about: fraud.

    Romney is campaigning to be President SuperBain; his cure is to cut wages, end pensions, let companies go bankrupt, and let the assets of production go dark or be sold to China. He really thinks thats the best of all possible Americas.

    by Inland on Tue Jun 19, 2012 at 08:45:55 AM PDT

  •  Obama administration has pushed hard (6+ / 0-)

    to increase the use of health IT.   I know Medicare claim forms can be electronically submitted, and by batch not one at a time.   Don't know if applications and changes of venue have an electronic interface, but if they don't I bet there's one in the works.  

    Investing to do things the smarter way for the public interest ... that's something we have to rely on DEMOCRATS to do.

    "The extinction of the human race will come from its inability to EMOTIONALLY comprehend the exponential function." -- Edward Teller

    by lgmcp on Tue Jun 19, 2012 at 08:47:55 AM PDT

    •  Let's see, Mitt is advocating for (2+ / 0-)
      Recommended by:
      lgmcp, raster44

      more computerization, right?  And he described the ordering gizmo as a "touch tone"?

      When someone is impatient and says, "I haven't got all day," I always wonder, How can that be? How can you not have all day? George Carlin

      by msmacgyver on Tue Jun 19, 2012 at 09:27:31 AM PDT

      [ Parent ]

  •  I AGREE WITH MITT (2+ / 0-)
    Recommended by:
    msmacgyver, raster44

    WHY ISN'T EVERYTHING MORE LIKE WAWA!!!!

    Cheap gas, sandwiches made hot at 2am, and 2/$4 Red Bull!

    AMERICA NEEDS A THIRD PARTY: THE WAWAS

    I've vote the shit out of them.

    But seriously, it's time for lunch.  I'm goin' to Wawa.  Anyone want anything?

  •  33 pages (3+ / 0-)
    Recommended by:
    Armando, bornadem, raster44

    This Md did more than change his address.  I think he was working in a clinic/multi md office and left that situation to work out of his own office.  Thus, he needed to contract with the government all over again.  Md's billing the government with multiple tax id numbers is problem and a source of fraud.

  •  Actually, there is no reason for anyone to (1+ / 0-)
    Recommended by:
    raster44

    fill out a 33-page form to indicate an address change. It's not fraud prevention, it's unnecessary. I don't see how excessive length of the form serves to prevent fraud. And excess bureaucracy is certainly not limited to government, corporations are no better if not worse.

  •  His campaign song (2+ / 0-)
    Recommended by:
    Armando, raster44

    should be Hall and Oats, Out of Touch

    MItt's general campaign strategy is to trade in the etch-a-sketch for a magic 8 ball.

    by jackandjill on Tue Jun 19, 2012 at 08:57:40 AM PDT

  •  the important frame to keep in people's minds (4+ / 0-)

    is that if a regulation exists, it's because the market already failed.

    If there's an onerous procedure for notifying Medicare of your address change, it's because the market failed to stop other doctors from abusing the easy procedure to defraud Medicare.  The market failed, so the government stepped in. Removing the process runs the risk of re-inviting this problem back into our lives.

    Conservatives need to realize that their Silent Moral Majority is neither silent, nor moral, nor a majority.

    by nominalize on Tue Jun 19, 2012 at 09:01:24 AM PDT

  •  Was this a real optometrist he met? (6+ / 0-)

    Or was the guy self-certified, like Rand Paul the ophthalmologist?

  •  My guess is this doc serves welfare queens (4+ / 0-)
    Recommended by:
    88kathy, bornadem, msmacgyver, raster44

    You know, the welfare queens with Cadillacs that Ronnie told us all about.

    And he likely sells unicorn food on the side, to augment his income.

    As remarked above, the form to change address is two pages (plus a two-page instruction). So, the story is bullshit.

  •  Touch screen drug testing for welfare recipients. (2+ / 0-)
    Recommended by:
    Joan McCarter, raster44

    . . . from Julie, Julia. "Oh, well. Boo-hoo. Now what?"

    by 88kathy on Tue Jun 19, 2012 at 09:07:23 AM PDT

  •  Romney has a habit (3+ / 0-)
    Recommended by:
    msmacgyver, indres, raster44

    of just pulling big numbers right out of his ass.

    "Obama wasted... eleventy billion dollars!"

  •  None of Mitt's supporters care how much he lies (4+ / 0-)
    Recommended by:
    bornadem, msmacgyver, indres, raster44

    ...or fucks up the facts. They hate Obama, and that is enough for them.

    Mitt revealed everything anyone needs to know about his team's strategy a few weeks ago when he said, "I only need 50.1%."

    We're through being cool. Eliminate the ninnies and the twits. -- Devo

    by Woodrow Stool on Tue Jun 19, 2012 at 09:08:56 AM PDT

  •  as there are no wawa's where I live (3+ / 0-)
    Recommended by:
    msmacgyver, indres, raster44

    do they really have a 'touch tone' screen?  Cause Rmoney seems stuck on 20th century technology.  His land line phone may be a touch tone, but touch screens for computer interfaces, maybe not?

    If we leave him in charge of innovation, the system is likely to have a rotary dial.

  •  My glasses??? I can't find the form!!!!! (1+ / 0-)
    Recommended by:
    raster44

    . . . from Julie, Julia. "Oh, well. Boo-hoo. Now what?"

    by 88kathy on Tue Jun 19, 2012 at 09:11:57 AM PDT

  •  The Four Page Form (1+ / 0-)
    Recommended by:
    raster44

    When someone is impatient and says, "I haven't got all day," I always wonder, How can that be? How can you not have all day? George Carlin

    by msmacgyver on Tue Jun 19, 2012 at 09:12:37 AM PDT

  •  Medicare fraud, $60 billion per year (2+ / 0-)
    Recommended by:
    raster44, happymisanthropy
    A program to fight fraud in the Medicaid health system for the poor has cost the U.S. at least $102 million in auditing fees since 2008 while identifying less than $20 million in overpayments, investigators found.

    The majority of the audits conducted by 10 companies were discontinued, produced “low or no findings” or were “put on hold,” the Government Accountability Office, the nonpartisan investigative arm of Congress, said today in a report. Three companies won’t have their contracts renewed, and two others will be reassigned, said Peter Budetti, the director of program integrity at the Centers for Medicare and Medicaid Services.

    “The results were extremely disappointing, way below what the expectations had been,” Budetti said in a telephone interview. He declined to name the companies terminated because he wasn’t sure whether the actions have been made public.

    Medicaid and Medicare, the U.S. insurance program for the elderly and disabled, are plagued by $60 billion in fraud a year, the Justice Department estimates. The Medicaid audit program, which was supposed to identify erroneous payments to doctors and hospitals, has produced “a negative return on investment,” aides to Senator Tom Carper, a Delaware Democrat, said in a staff memo to the Senate Homeland Security and Governmental Affairs committee.

    http://www.bloomberg.com/...

  •  Mitt Didn't Know Wawa Is A Chain (1+ / 0-)
    Recommended by:
    raster44

    He said "A place called Wawa's (sic). How many of you have been there?"  as if Wawa is a local mom and pop icon (which he forgot to insult) and not an actual chain in the mid-Atlantic region.

    There’s always free cheddar in a mousetrap, baby

    by bernardpliers on Tue Jun 19, 2012 at 09:15:17 AM PDT

  •  Typical GOP liar. (1+ / 0-)
    Recommended by:
    raster44

    Does Mitt Romney really think it is to be believed it took a 33 page form to order a sandwich in Massachusetts at the time he was governor there?

    Are all the PA Ron Paul supporters so hypocritical as to be doctors and employees in the medicare industry and at the same time small goverenment free enterprisers who care to live off the federal government funding of the costs and profits of their services?

    If Mitt Romney really wants to give the US federal government some competition, why then does he not run for the office of governor of Russia?

     

    H'mm. I'm not terribly into this, anymore.

    by Knarfc on Tue Jun 19, 2012 at 09:23:14 AM PDT

  •  But like uh (1+ / 0-)
    Recommended by:
    happymisanthropy

    Wouldn't implementing something like this for medicare require a big investment?

  •  Romney wants us to think of him as a LIAR (0+ / 0-)

    Remember how we jumped on the 'etch-a-sketch' view of Romney a while back?  And how it seemed strange that the Obama folks decided to focus on how conservative he was rather than on the fact that you couldn't believe anything Romney says?

    Part of the OFA logic was that if you can't trust anything Romney says, maybe what he really believes in is the very thing you want him to believe in.  If people are willing to accept that he flip-flops, then it is easy to sell them on the idea that what really believes is whatever you want him to believe.  And given the possibility of pin-pointing individual believes/opinions through all the online tools available, they could probably do a pretty good selling job.

    So OFA stopped pushing the etch-a-sketch meme, and now the Romney people have to push it themselves.  They can't come right out and say "you can't believe anything our guy says" but they can make it so obvious he is lying all the time even the MSM have to start reporting on it.

    So he lies.

    All the time.

    I mean, he can't really be doing this by accident, can he?

    If you have a friend with a TBI, check out Sucessfully Surviving a Brain Injury.

    by Msanger on Tue Jun 19, 2012 at 09:50:32 AM PDT

  •  How does ordering a sandwich (0+ / 0-)

    with a "touch-tone" screen create jobs?

  •  Can someone please tell me what WaWa is? (0+ / 0-)

    Thanks.

  •  It's funny for private sector Mitt to say this (0+ / 0-)

    I worked for an financial firm on the phones for a while and we'd get the same complaints when we'd change addresses and the make them wait to get checks sent to the new address...Of course, who would also be the people screaming the loudest on the off chance someone got a hold of their personal information and the process wasn't in place. Same as Mitt, who would then use the subsequent fraud that would occur to lampoon how gubment cant do nothing rite (spelling on purpose).

  •  Hey Mitt The Genius: Ordering A Sandwich Is NOT (0+ / 0-)

    the same thing as changing addresses for a Medicare reimbursement.  There is something called "Medicare fraud" Mitt, which might explain why the form for changing addresses is a bit more complicated than ordering a sandwich. How much fraud is committed when ordering a sandwich?
    "It's time to bring some competition to the federal government and get it smaller, and respond to the customers, which are you!" Translation: let's privatize the whole Medicare system, so me and my 1% buddies can pocket all the profits, while taking senior citizens to the cleaners by raising premiums on them. Everyone gets screwed but Romney and his 1% campaign contributors, just like in his glorious Bain capital days!

  •  Actually we do have a few of them fancy computer d (0+ / 0-)

    What this vulture capitalist doesn't get is you have to spend money to save money in government sometimes.  I work for Medicaid and spent several months in our provider enrollment unit as we transitioned from paper to electronic services.  It cost us a nice chunk of change but now providers can change their addresses (and do much more) online.  There is a great deal of security involved; they can't just shoot us an email, but they can do it through a secure portal without our assistance.  If the budget hawks in our state had their way, however, we'd still be using paper -- and staff to process it.  We had to invest a lot of money to get where we are today, but now we're saving tons compared to the old way of doing things.

    This is all beside the point for the vast majority of providers since they have direct deposit anyway, so no checks are ever mailed.  Medicare is a whole different beast, but all this is to say if the GOP wants the government to be as tech savvy as WaWa, they'd better poney up the cash.

  •  This is where I stopped believing him . . . (1+ / 0-)
    Recommended by:
    indres

    "I met an optometrist this morning ..."

    Right there something inside me warned, "He's lying."

    Shame on me.

    "Free market" simplified - if you buy a product and it kills you, you won't buy it again - no government needed.

    by tomwfox on Tue Jun 19, 2012 at 11:00:55 AM PDT

  •  I object!! (0+ / 0-)

    Romney's not exactly a "big fat liar."  More like a tall lean one.

    "Equal rights for gays." Yeah, it's just that simple.

    by planmeister on Tue Jun 19, 2012 at 11:20:44 AM PDT

  •  What really happens (0+ / 0-)

    When programs are set up they work just fine, but then politicians decide that the money would be better spent on something more useful, perhaps on the F-22, so to fund the fighter they cut personnel from the working program.  This happens several times and customer service suffers, so when someone like our optometrist sends in the form to change addresses it takes its place in the que, due to the backlog created by not having enough personnel to do the data entry.  The payments to the optometrist are delayed, he complains, and the Republicans tell us how inefficient government is.

    What amazes me is that this tactic of underfunding programs to the point where they don't work and then screaming how inefficient government programs are is still working, and half the population is still believing that government is the problem, not politicians with the intent of funding their own pet programs, which in the case of the cons seems to be tax cuts and increased military spending.

  •  How often does he move his practice, anyway? (0+ / 0-)

    Even if the form is 33 pages long, I can't imagine that it could be any kind of substantial burden.

  •  Typical Mitt (0+ / 0-)

    Worried about the wealthy getting their cut.  I work with seniors and one program my agency is involved with is called the Senior Medicare Patrol, which efforts to reduce fraudulent Medicare charges.  In fact, one of the fastest growing white collar crimes is defrauding Medicare.  It is a huge moneymaker for the mafia.  It is currently too easy to obtain a provider number.  Once you get that and you buy some stolen Medicare numbers all you need is a post office box.  After billing from that locale for a couple of months, just click a couple of buttons (Mitt's words, not mine) and change to a new address.  Great thinking, Mitt the Twit.

    I'm a blue girl in a red state with a blue dot, which is progress - now we need to get rid of Lee Terry

    by KellyB on Tue Jun 19, 2012 at 12:27:22 PM PDT

  •  Did he watch at WAWA after he poked (0+ / 0-)

    the buttons?

    The main difference between online changing your address and using a computer ordering system at WAWA to get your cheesesteak or Italian Hoagie is that at WAWA there is still an actual person (dude or wench) who makes the sandwich.  

    Someone who probably doesn't have a car elevator.  Someone who he probably didn't recognize when his motorcade invaded their place of business.

    Nice outreach to the common Pennsylvanian, mittens.

    "I'll press your flesh, you dimwitted sumbitch! " -Pappy O'Daniel

    by jakewaters on Tue Jun 19, 2012 at 01:45:56 PM PDT

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